Individual provider Active NPI

Alanna Sherstad-Ray, LCSW

  • Clinical Social Worker
  • Santa Fe, NM
National Provider Identifier
1295458958
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SWB-2022-0839 Issued in NM
Practice address
3 Caliente Rd Ste 10
Santa Fe, NM 87508-9209
Phone
(505) 336-1543
NPI assigned
Sep 19, 2022
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X BBH-LCSW-LIC-57121 MT
Clinical Social Worker 1041C0700X SWB-2022-0839 NM Primary

Addresses

Primary practice location

3 Caliente Rd Ste 10
Santa Fe, NM 87508-9209

Mailing address

99 Alteza
Santa Fe, NM 87508-2219
Phone (505) 336-1543

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL alanna@alpenglownm.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230104002500 NM Practitioner - Clinical Social Worker 9032589239 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-57121MTMDClinical Social Worker
SWB-2022-0839NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alpenglow Counseling, LLC Clinical CurrentSince Oct 1, 2022 Accepting new patients
Alpenglow Counseling & Wellness LLC Clinical Current Accepting new patients
Sacred Transitions NM LLC Clinical CurrentSince Jan 28, 2024 Accepting new patients

Locations

3 Caliente Rd
Ste 10
Santa Fe, NM 87508
Phone (505) 216-6728

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1295458958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 ALTEZA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875082219",
            "telephone_number": "505-336-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CALIENTE RD STE 10",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875089209",
            "telephone_number": "505-336-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERSTAD-RAY",
        "first_name": "ALANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-57121",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "SWB-2022-0839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "alanna@alpenglownm.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3 Caliente Rd Ste 10",
            "city": "Santa Fe",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875089209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.